We are actively seeking an experienced Director of Nursing (DON) for a Medicare-certified Home Health Agency serving Miami-Dade and Monroe Counties.
This is a high-impact HYBRID RN LEADERSHIP ROLE responsible for:
✔ Clinical oversight
✔ OASIS management and review
✔ QA / Performance Improvement
✔ Medicare and CHAP compliance
✔ Clinical supervision and operational coordination
✔ Support census growth and strengthen referral relationships
Ideal for an experienced Home Health DON, Home Health RN, Clinical Supervisor, or Clinical Manager seeking a flexible leadership role within a growing organization offering autonomy, flexibility, and long-term growth opportunity.
KEY RESPONSIBILITIES
HOME HEALTH CLINICAL LEADERSHIP
• Oversee timely admission and reassessment of patient needs
• Provide clinical oversight of skilled nursing services in the home setting
• Supervise RNs, LPNs, and contracted clinicians
• Complete or oversee OASIS assessments (SOC, ROC, Recertification, Discharge)
• Review and approve Plan of Care (CMS Form 485) and physician orders
• Ensure timely submission of NOA and OASIS validation reports
• Provide ongoing clinical guidance and support to field staff
• Conduct supervisory visits and clinical assessments as needed
• Ensure compliance with Medicare Home Health standards
QA / PERFORMANCE IMPROVEMENT (CHAP ACCREDITED)
• Oversee QAPI program and performance improvement initiatives
• Conduct chart audits and clinical documentation reviews
• Ensure compliance with Medicare Conditions of Participation (CoPs)
• Support CHAP, AHCA, CMS survey readiness and regulatory compliance
• Maintain accurate and timely clinical documentation
CLINICAL SUPERVISION & STAFF OVERSIGHT
• Coordinate staffing based on census needs
• Support onboarding, orientation, and clinical training
• Provide mentorship and performance feedback to clinical staff
• Approve patient assignments and supervise field clinicians
MEDICARE / REGULATORY COMPLIANCE
• Ensure compliance with Medicare-certified Home Health regulations
• Maintain adherence to CHAP and Florida AHCA standards
• Support billing and documentation integrity
• Maintain survey readiness and policy compliance
CENSUS GROWTH & REFERRAL DEVELOPMENT
• Collaborate with leadership on census growth initiatives
• Support clinical excellence to strengthen referral relationships
• Assist in building scalable clinical workflows and systems
HYBRID WORK STRUCTURE
• Majority of administrative duties performed remotely
• Occasional field visits for supervision, oversight, and direct patient care as needed
• Flexible scheduling based on agency and patient needs
• High autonomy leadership role
Qualifications
- Active Florida RN license (required)
- Home health DON or clinical leadership experience
- Strong knowledge of Medicare CoPs and OASIS
- Experience with CHAP/ACHC/state survey readiness
- Background in QAPI, audits, and quality improvement
- Leadership, mentoring, and staff supervision skills
- Strong communication and organizational abilities
- Proven experience in Home Health Care, with at least 1 years of experience.
- Bilingual in English and Spanish.
We are a CHAP-accredited home health agency with a progressive, growth-focused culture seeking a motivated leader to grow with us and help drive clinical excellence.